摘要
目的了解安徽省农村老年高血压患者睡眠质量现状及危险因素。方法采用分层整群抽样方法,抽取农村老年人1 700名,其中高血压患者1 110例,采用匹茨堡睡眠质量指数量表(PSQI)及自编问卷对1 110例老年高血压患者进行面对面调查。结果 PSQI平均得分为(7.65±3.91)分,474例(42.7%)睡眠质量差;新发患者组睡眠质量差的检出率、PSQI总分均高于高血压病史组(2χ=15.742,P=0.000;t=4.743,P=0.000);血压控制不良组睡眠质量差的检出率、PSQI总分均高于血压控制良好组(2χ=4.545,P=0.033;t=2.411,P=0.016);不同血压水平的高血压患者睡眠质量差的检出率差异有统计学意义(2χ=24.054,P=0.000),PSQI总分差异有统计学意义(F=8.507,P=0.000);逐步Logistic回归分析结果显示,女性、年龄≥70岁、农民、有收入、2级血压水平、有冠心病史、胃病史、气管炎史是睡眠质量的危险因素。结论农村老年高血压患者睡眠质量较差,提高睡眠质量是改善生存状况的有效途径。
Objective To investigate sleep quality and it＇s influencing factors among the rural elderly with hypertension in Anhui province.Methods With stratified sampling,a face-to-face interview was conducted among 1 110 hypertension patients from 1 700 elderly respondents.A Chinese version of Pittsburgh Sleep Quality Index（PSQI） scale and a self-compliled scale were used to collect related information.Results Among the subjects,the average PSQI score was 7.65±3.91 and 474 cases（42.7%）had bad sleep quality.New hypertension cases had higher PSQI score and bad sleep quality than cases wtih long hypertension history（χ2=15.742,P=0.000;t=4.743,P=0.000）.The hypertensives with abnormal blood pressure control had a higher prevalence of bad sleep quality and higher PSQI score than those of with normal control（χ2=4.545,P=0.033;t=2.411,P=0.016）.Prevalence rate of bad sleep quality and PSQI score were significantly different between the elderly people with different blood pressure level.（χ2=24.054,P=0.000;F=8.507,P=0.000）.Results of multiple stepwise regression indicated that the risk factors for bad sleep quality were female,aged ≥70 years,peasant,having personal income,grade 2 hypertension,with coronary heart disease history,with stomach disease history,and with trachitis history.Conclusion The sleep quality of the rural elderly with hypertension is not good and improving sleep quality is an effective way to increase the quality of life for the elderly with hypertention.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2011年第7期831-833,共3页
Chinese Journal of Public Health
关键词
老年人
高血压
睡眠质量
the elderly
hypertension
sleep quality
